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CARISSA ANN COOROUGH PA
NPI 1588949333
Physician Assistant in Green Bay, WI

Active since October 12, 2011PECOS Enrolled
720 S VAN BUREN ST STE 301, GREEN BAY, WI 54301(920) 433-9400 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carissa Ann Coorough Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARISSA ANN COOROUGH PA (NPI 1588949333) is an individual physician assistant in Green Bay, Wisconsin, licensed in Wisconsin (2872-23) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in La Crosse.

NPPES Registry Identity

NPI1588949333
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCARISSA ANN COOROUGHCredential: PA
Location Address720 S VAN BUREN ST STE 301Green Bay, WI 54301-3534
Mailing Address720 S Van Buren St Ste 301Green Bay, WI 54301-3534 · (920) 433-9400
Phone(920) 433-9400
Sole ProprietorNo
Enumeration DateOctober 12, 2011
Last NPPES UpdateJuly 11, 2018
✔ NPI 1588949333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 2872-23
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
720 S VAN BUREN ST STE 301, Green Bay, WI 54301
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Other Names 1

Former Name (1)Carissa Ann Cole Pa

Secondary Practice Location 1

Location 11836 South AveLA Crosse, WI 54601-5429 · Phone (608) 782-7300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carissa Ann Coorough Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
4 suppliers11 claims33 services$4.31 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers22 claims2,420 services$1.69 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
4 suppliers16 claims87 services$8.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carissa Coorough's NPI number?

The NPI number for Carissa Coorough is 1588949333. It was assigned to this individual provider in the NPPES registry on October 12, 2011. The provider is also known as Carissa Ann Cole PA.

Where is Carissa Coorough located?

Carissa Coorough practices at 720 S Van Buren St Ste 301, Green Bay, WI 54301. The listed phone number is (920) 433-9400.

What is Carissa Coorough's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carissa Coorough enrolled in Medicare?

Yes. Carissa Coorough is registered in the Medicare PECOS enrollment system.

What insurance does Carissa Coorough accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Carissa Coorough as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carissa Coorough was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.